Clinical Risk Manager
1 month ago
Oasis Health Services is seeking a highly skilled Clinical Risk Manager to join our team. As a key member of our patient services department, you will be responsible for managing the financial and clinical risks of patients in our general ward.
Key Responsibilities:- Ensure accurate coding and clinical updates to achieve strategic objectives
- Participate in meetings and report losses to the RSRT team, recommending corrective actions
- Monitor insurance verification and workflow processes
- Implement and monitor quality improvement programs
- Adhere to patient services escalation processes to achieve QMS targets
- Investigate internal and external stakeholder complaints
- Ensure compliance with LHC policies and manage authorizations and claim submissions, rejections, and delays
- Ensure governance and risk management by monitoring and adhering to patient services policies and procedures
- Nursing qualification with at least three to five years' experience
- Current SANC registration
- Knowledge of hospital patient services and case management processes
- Knowledge and understanding of CPT & ICD coding
- Knowledge of Funder contracts, scheme rules, exclusions, and benefits
Oasis Health Services offers a dynamic and supportive work environment, with opportunities for professional growth and development. If you are a motivated and experienced Clinical Risk Manager looking for a new challenge, we encourage you to apply.
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Clinical Risk Manager
5 days ago
Pretoria, Gauteng, South Africa Oasis Healthservices Full timeJob Title: Clinical Risk ManagerJob OverviewOasis Healthservices is seeking a skilled Clinical Risk Manager to join our team. The successful candidate will be responsible for managing the financial and clinical risks of patients in a general ward.Key ResponsibilitiesEnsure accurate coding and clinical updates of patient hospitalizationManage accounts...
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Clinical Risk Manager
1 month ago
Pretoria, Gauteng, South Africa Oasis Healthservices Full timeJob Title: Clinical Risk ManagerOasis Healthservices is seeking a highly skilled Clinical Risk Manager to join our team. As a key member of our patient services department, you will be responsible for managing the financial and clinical risks of patients in a general ward.Key Responsibilities:Ensure accurate coding and clinical updates to achieve strategic...
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Clinical Risk Manager
4 weeks ago
Pretoria, Gauteng, South Africa Oasis Healthservices Full timeJob Title: Clinical Risk ManagerOasis Health Services is seeking a highly skilled Clinical Risk Manager to join our team. As a key member of our patient services department, you will be responsible for managing the financial and clinical risks associated with patient care in our general ward.Key Responsibilities:Ensure accurate coding and clinical updates to...
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Clinical Specialist for Spinal Management
7 days ago
Pretoria, Gauteng, South Africa H2R Africa Full timeJob Title: Clinical Specialist for Spinal ManagementH2R Africa is seeking a dedicated Clinical Specialist for Spinal Management to join our team. The successful candidate will be responsible for managing the access, clinical appropriateness, and risk of services related to back and neck pain management, spinal surgery, and associated healthcare services.Key...
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Clinical Advisor Manager
4 weeks ago
Pretoria, Gauteng, South Africa Growthlink Consulting Full timeJob Title: Clinical Advisor ManagerGrowthlink Consulting is seeking a highly skilled Clinical Advisor Manager to join our team. As a key member of our Medical Advisory Services business unit, you will be responsible for managing the administrative function and contributing to targeted research into local and international clinical guidelines and funding...
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Clinical Advisor Manager
3 weeks ago
Pretoria, Gauteng, South Africa Growthlink Consulting Full timeJob Title: Clinical Advisor ManagerAt Growthlink Consulting, we are seeking a highly skilled Clinical Advisor Manager to join our team. As a key member of our Medical Advisory Services business unit, you will be responsible for managing the administrative function and contributing to targeted research into local and international clinical guidelines and...
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Clinical Advisor Manager
2 months ago
Pretoria, Gauteng, South Africa Growthlink Consulting Full timeJob DescriptionJob Title: Clinical Advisor ManagerJob Summary:Growthlink Consulting is seeking a highly skilled Clinical Advisor Manager to join our team. The successful candidate will be responsible for providing clinical guidance and support to our clients in the healthcare industry.Key Responsibilities:Manage the administrative function in the Medical...
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Risk Management Specialist
7 days ago
Pretoria, Gauteng, South Africa Oasis Healthservices Full timeJob Title: Case ManagerAbout the Role:Oasis Health services is seeking an experienced Case Manager to join our team. As a Case Manager, you will be responsible for managing financial and clinical risks of patients in a general ward.Key Responsibilities:Ensure accurate coding, clinical updates, and accounts submissions to achieve strategic...
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Clinical Advisor Manager
1 month ago
Pretoria, Gauteng, South Africa Growthlink Consulting Full timeJob Title: Clinical Advisor ManagerJoin Growthlink Consulting as a Clinical Advisor Manager and contribute to the success of our Medical Advisory Services team. As a key member of our team, you will be responsible for providing clinical expertise and guidance to support the development and implementation of medical schemes and healthcare policies.Key...
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Clinical Case Manager for Spinal Management Program
2 months ago
Pretoria, Gauteng, South Africa H2R Africa Full timeJob Title: Clinical Case Manager for Spinal Management ProgramH2R Africa is seeking a highly skilled Clinical Case Manager to join our team in the Spinal Management Program. As a key member of our team, you will be responsible for managing the access, clinical appropriateness, and risk of all requests for services related to back and neck pain management,...
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Senior Clinical Research Manager
7 days ago
Pretoria, Gauteng, South Africa Qetello Holdings Full timeJob DescriptionWe are seeking a highly skilled and experienced Head of Research Department to lead our clinical research portfolio. The successful candidate will be responsible for managing all aspects of the research department, including providing strategic leadership, building the client's capacity in clinical research, generating financial resources for...
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Clinical Manager Advisor
7 days ago
Pretoria, Gauteng, South Africa Growthlink Consulting Full timeKey Responsibilities:The Clinical Manager Advisor will oversee the administrative function within the Medical Advisory Services business unit.They will contribute to and conduct targeted research into local and international clinical guidelines and funding policies, as well as critical review and analysis of current cost drivers and trends.The successful...
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Medical Director: Clinical Governance
3 weeks ago
Pretoria, Gauteng, South Africa Growthlink Consulting Full timeJob SummaryWe are seeking a highly experienced and skilled Senior Manager to lead our Medical Advisory Services team in Pretoria. The successful candidate will be responsible for executing clinical and medical advisory services within the Healthcare Management division, ensuring sound and compliant execution of clinical and medical advisory services.Key...
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Clinical Trial Specialist
4 weeks ago
Pretoria, Gauteng, South Africa MNA Recruitment (Pty) Ltd Full timeJob Title: Clinical Start Up Trial SpecialistWe are seeking a highly skilled Clinical Start Up Trial Specialist to join our team at MNA Recruitment (Pty) Ltd.Job Summary:The successful candidate will be responsible for driving and executing all start-up and maintenance-related activities and deliverables for assigned studies and sites in their assigned...
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Clinical Research Associate
3 days ago
Pretoria, Gauteng, South Africa Thermo Fisher Scientific Full timeJob Title: Clinical Research Associate - Level IIJob Summary:We are seeking a highly skilled and experienced Clinical Research Associate - Level II to join our team at Thermo Fisher Scientific. As a Clinical Research Associate - Level II, you will be responsible for monitoring investigator sites with a risk-based approach, applying root cause analysis and...
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Clinical Research Associate
2 months ago
Pretoria, Gauteng, South Africa Thermo Fisher Scientific Full timeJob SummaryWe are seeking a highly skilled Clinical Research Associate (CRA) - Level II to join our team at Thermo Fisher Scientific. As a CRA, you will be responsible for monitoring investigator sites with a risk-based approach, ensuring data accuracy, and conducting on-site file reviews. If you have a strong background in clinical research, excellent...
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Clinical Research Professional
6 days ago
Pretoria, Gauteng, South Africa FRIMO RECRUITMENT AGENCY Full timeJob Title: Clinical Research AnalystFRIMO RECRUITMENT AGENCY is seeking a highly skilled clinical research analyst to join our team. The successful candidate will be responsible for conducting clinical research, providing technical support, and overseeing projects.Key Responsibilities:Conduct clinical research and provide technical support to...
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Clinical Research Associate
3 weeks ago
Pretoria, Gauteng, South Africa Thermo Fisher Scientific Full timeJob SummaryWe are seeking a highly skilled Clinical Research Associate (CRA) to join our team at Thermo Fisher Scientific. As a CRA, you will be responsible for monitoring investigator sites with a risk-based approach, ensuring data accuracy, and conducting on-site file reviews. You will also provide trial status tracking and progress update reports to the...
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Clinical Research Associate
3 weeks ago
Pretoria, Gauteng, South Africa FRIMO RECRUITMENT AGENCY Full timeClinical Research Analyst PositionWe are seeking a highly skilled Clinical Research Analyst to join our team at FRIMO RECRUITMENT AGENCY. The successful candidate will be responsible for conducting clinical research, providing technical support, and overseeing projects.Key Responsibilities:Conduct clinical research and provide technical support to...
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Clinical Solutions Professional
2 weeks ago
Pretoria, Gauteng, South Africa Cepheid Full timeClinical Solutions Executive Role OverviewWe are seeking a highly skilled Clinical Solutions Executive to support Cepheid Africa in achieving its commercial objectives. This role involves developing pre- and post-sales strategies to promote newly launched products and drive utilization of Cepheid assays among both new and existing customers.Key...